What assessment finding would signal an impending rupture of the patient's aneurysm?

Sudden onset of severe back pain

Pt has HX of chronic deep venous insufficiency. What intervention should the nurse anticipate?

Antibiotics to treat cellulitis

What do you expect to find when comparing peripheral pulses in pt w/ PAD 1 extremity?

PAD (arterial symptoms) would be diminished to absent pulses

Which medications would the nurse question administering?

Loop diuretic (Lasix) to a patient with a K+ of 3.1

Nursing assessment of the patient with leg ulcers (select all)

Location/type of pain, bilateral comparison peripheral pulse, identification of mobility limitations, comparison of temperature in the patients legs

Pulmonary Artery Pressure (PAP) monitoring device is useful in

the care in a patient having a big MI

contraction of the atria and ventricles

Modifiable CAD (coronary artery disease) risk factors. select all

hypertension, diabetes, metabolic syndrome, obesity, physical inactivity, Hyperlipidemia, cigarette smoking

From the arterial system to the Venous system

HX rheumatoid arthritis w modest relief w NSAIDS. Which nursing diagnosis would be appropriate

Self-care deficit related to fatigue and joint stiffness

Plaque in the arteries is made up of what? select all

blood components & carbohydrates, Lipids & calcium, Fibrous tissue

dilation or out pouching in weak point within arterial wall

What do you expect to find when comparing peripheral pulses in pt w/ DVT 1 extremity?

DVT (venous symptoms) would be intact pulses

S&S of deep vein obstructions include

edema and swelling, warm and tender

The different types of myeloids (select all)

Leukocytes, Platelets, Erythrocytes

immediate goal r/t nursing diagnosis deficient knowledge related to the use of an epipen

Pt will show correct injection technique w/ today’s teaching

pt w/ intermittent claudication gets pain while in bed, to relieve pain & promote circulation

Lower the extremity to a dependent position (dang legs)

Ps with essential HTN is prescribed the BB metoprolol. Why would you question administering?

The patients apical pulse is 56

Lab tests necessary to diagnose myocardial injury

Troponin, creatine kinase (CK), and myoglobin

Hypertensive emergency is when

Exceedingly high BP, will result in end-organ damage

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Nursing Basics Exam 1 Powerpoints

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Chapters 3, 25, 27, 30-34 #Nursing #CardiovascularSystem

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Questions 106

Answers

1
What assessment finding would signal an impending rupture of the patient's aneurysm?
Sudden onset of severe back pain
New onset of hemopysis
Cessation of pulsating that has previously been visible
Sudden increase in BP and a decrease in HR
2
What stimulates the bone marrow to produce blood?
Na+
Hormones released from liver
Adrenal glands in kidneys
bodys demand for O2
3
Defect in stem cell that differentiate into all myeloid cells.
Acute myeloid
chronic lymphocytic
Acute lymphocytic
Chronic myeloid
4
Pt has HX of chronic deep venous insufficiency. What intervention should the nurse anticipate?
Platelet transfusion to treat thrombocytopenia
Antibiotics to treat cellulitis
Warfarin to treat arterial insufficiency
5
What do you expect to find when comparing peripheral pulses in pt w/ PAD 1 extremity?
PAD (venous symptoms) would be intact pulses
PAD (arterial symptoms) would be diminished to absent pulses
PAD (venous symptoms) would be diminished to absent pulses
PAD (arterial symptoms) would be intact pulses
6
What helps with spinal bifida and cleft palate
Hemoglobin
Folate (folic acid)
RBC indices
Iron
7
Which medications would the nurse question administering?
Loop diuretic (Lasix) to a patient with a K+ of 3.1
Vasodilator hydralazine (Apresoline) to pt w/ BP of 168/94
CCB diltiazem (Cardizem) to pt w/ a glucose level of 280
Beta blocker Lopressor (metoprolol) to pt w/NA level of 137
8
The vascular system is made up of what interdependent systems (select all)
Pulmonary
Renal
Systemic
Circulatory
9
Nursing assessment of the patient with leg ulcers (select all)
Location/type of pain, bilateral comparison peripheral pulse
Apical heart rate
identification of mobility limitations
comparison of temperature in the patients legs
10
True or False: Leukemia can be chronic or acute
False
True
11
Secondary HTN has
A known cause
An unknown cause
12
Pulmonary Artery Pressure (PAP) monitoring device is useful in
Measuring I&O
the care in a patient having a big MI
renal treatment
the measurement of O2 in the tissues
13
What type of anemia results from red blood cell destruction
none of the above
Hemolytic
Hypoproliferative
Bleeding
14
A BNP sample has been drawn to a pt who has SOB. What does the test help diagnosis?
HF
Valve dysfunction
Cardiomyopathy
MI
15
True or False: VTE includes DVT & PE
True
False
16
Systole
contraction of the atria and ventricles
ventricular relaxation resulting in ventricular filling
All of the above
Tissue perfusion
17
First line drug to use for HTN
ACE inhibitor
Loop diuretic
Beta blocker
Calcium channel blocker
18
Teaching for the diabetic patient who also suffers from intermittent claudication
none of the above
To wash hands 2 times a day
to lower K+ intake
about meticulous foot care
19
Modifiable CAD (coronary artery disease) risk factors. select all
family history, race
hypertension, diabetes
metabolic syndrome, obesity, physical inactivity
Hyperlipidemia, cigarette smoking
20
True or False: Cellulitis cannot be differentiated from lymphangitis
True
False
21
Modification of lifestyle behaviors to help manage HTN does not include which of the following?
Fruit, vegetables, and whole grains
The Dash Diest & daily exercise regimen
Alcohol intake with meals
Weight loss of 10lbs
22
process where blood is ejected into the circulation, the chambers of the heart become smaller
Diastole
Repolarization
Systole
Ejection friction
23
Blood flows...
from the venous system to the arterial system
From the renal system to the tissues
from the heart to the liver
From the arterial system to the Venous system
24
HX rheumatoid arthritis w modest relief w NSAIDS. Which nursing diagnosis would be appropriate
Risk for hopelessness
Self-care deficit related to fatigue and joint stiffness
Anxiety r/t pain and joint pain
25
Plaque in the inner lumen of the artery is composed chiefly of what
White blood cells
High density cholesterol
Lipids and fibrosis tissue
Lipid proteins
26
Plaque in the arteries is made up of what? select all
blood components & carbohydrates
Lipids & calcium
Fibrous tissue
Sodium & Suger
27
Polycythemia
none of the above
Excess destruction of RBCs
Decrease in RBCs
Increased volume of RBCs
28
An aneurysm is
painful
tear in the arterial wall
dilation or out pouching in weak point within arterial wall
Decreased or absent femoral pulses
29
True/False: Hematopoiesis is the common process of the formation and maturation of blood cell
False
True
30
What do you expect to find when comparing peripheral pulses in pt w/ DVT 1 extremity?
DVT (arterial symptoms) would be intact pulses
DVT (venous symptoms) would be intact pulses
DVT (arterial symptoms) would be diminished to absent pulses
DVT (venous symptoms) would be diminished to absent pulses
31
True or False: chronic Myeloid Leukemia is uncommon in people under 20
True
False
32
what is a sign that someone is becoming septic
Left shift
downward shift
elevated BP
right shift
33
Types of erythrocytes (select all)
Eosinophils
Hemoglobin
Basophils
Reticulocytes
34
S&S of deep vein obstructions include
cool to touch, tingling sensation
edema and swelling, warm and tender
all of the above
radiating pain
35
The different types of myeloids (select all)
Leukocytes
Lymphoid
Platelets
Erythrocytes
36
Types of Leukemia (select all)
Hematopoietic
Lymphocytic
Clonal
Myeloid
37
Mutation in stem cell with uncontrolled proliferation of cells
Acute lymphocytic
Chronic Myeloid
Acute Myeloid
Chronic Lymphocytic
38
What is a common side effect of Nitroglycerin tabs?
Headache
Nausea
Hypotension
Tingling
39
Which type of cells increase in number when the pt is exposed to a bacterial infection
Erythrocyte
Eosinophil
Neutrophil
Thrombocyte
40
immediate goal r/t nursing diagnosis deficient knowledge related to the use of an epipen
Pt will tell the nurse they will look it up online
Pt will show correct injection technique w/ today’s teaching
The patient will closely observe the nurse demonstrate
Pt states they know how to use it and nurse says ok
41
Hemolytic
Defect in production of RBCs
excess destruction of RBCs
Excess production of RBCs
None of the above
42
True or False: A proper nursing diagnosis for Raynaud’s disease: Ineffective tissue perfusion
False
True
43
pt w/ intermittent claudication gets pain while in bed, to relieve pain & promote circulation
there is nothing they can do
Elevate extremity
Lower the extremity to a dependent position (dang legs)
place pt in semi fowlers
44
A person with prolonged, uncontrolled hypertension is at the greatest risk for developing what?
liver damage
renal failure
Cataracts
Edema
45
what does a pt w/ venous leg pain/venous ulcers do to relieve pain & promote circulation
Elevation of the extremity
there is nothing they can do
Place pt in semi fowlers
Lower the extremity to a dependent position
46
Ps with essential HTN is prescribed the BB metoprolol. Why would you question administering?
The patient is complaining of a yellow haze
The patient has an occipital headache
The patients BP is 112/90
The patients apical pulse is 56
47
Lab tests necessary to diagnose myocardial injury
Hemoglobin, Na+, & K+
Troponin, Na+, & PTT
creatine kinase (CK), PTT, & PT
Troponin, creatine kinase (CK), and myoglobin
48
Chest pain, angina or MI, results in what in terms of tissue perfusion?
Decreased tissue perfusion
Increased tissue perfusion
consistent tissue perfusion
none of the above
49
Hypertensive emergency is when
BP becomes very low, resulting in organ damage
BP becomes very low, causing syncope
BP becomes very high, but no impending organ damage
Exceedingly high BP, will result in end-organ damage
50
Hypoproliferative
Excess destruction of RBCs
none of the above
Defect in production of RBCs
Excess production of RBCs
51
What is a normal change expected to see in the aging heart of an older adult?
Widening of the aorta
Decrease left ventricular ejection time
52
Pt w/ HX DM, nicotine addiction, & intermittent claudication. What would a nurse say to this pt
"Reduce your activity level to accommodate limitations."
"Consider cutting down on your smoking."
"Be sure to practice meticulous foot care."
53
I side effect of Nitroglycerin is
Tingling
Drowsiness
Headache
Leg pain
54
Iron will only be absorbed if taken with
Vitamin B12
Vitamin D
Vitamin C
Vitamin K
55
Types of Agranulocytes (select all)
Hemoglobin
Erythropoiesis
Monocytes
Lymphocytes
56
Which type of cell increase with allergies/asthma
Eosinophil
Neutrophil
Erthyrocyte
Thrombocyte
57
Primary HTN has
A known cause
An unknown cause
58
Which of the following characteristics is typical of the pass associated with DVT?
Dull ache
Tingling
Sudden onset
No pain
59
The purpose of a PAP monitoring device is hemodynamic monitoring such as
All of the above
assessing liver function, renal sufficiency, & CO
assessing L ventricle preload, CO,obtaining SV,cardiac index
assessing I&O, electrolyte balance, & cardiac index
60
What will you assess for a patient with hypertension? Select all
If they have insurance
Adherence to therapy
Family support
Cardiovascular status
61
Nursing needs to check this on a pt who had cath lab femoral sheath or leg surgery of any kind
Apical Pulse
Blood pressure
Dorsalis Pedis Pulse
Carotid pulse
62
Calcium channel blockers reduce the work load of the heart by
increasing HR and BP
Blocking the Na+ retention decreasing the contractility
Causing more frequent urination
decreasing both HR & myocardial contraction
63
pt w/ uncomplicated HTN & nospecific indications for other med, what is the initial medication?
Vasodilators
Angiotensin converting enzyme inhibitors
Calcium channel blocker
Thiazide diuretic
64
True or False: Polycythemia is a form of anemia
True
False
65
Signs of impending aortic aneurysm rupture include
pain in extremities
no pain
tingling sensation
severe back or abdominal pain
66
what is #1 fluid to give to pt w/ big drop in BP
1st turn off nipride IV drip, administer 0.9% normal saline
1st turn off nipride IV drip, administer K+
1st get physician, administer 0.9% normal saline
1st get physician, administer Heprin
67
Atherosclerosis is caused by accumulation of
embolus in the lungs
lipid & fibrous tissue in lining of arterial BV wall
hormones in the liver
blood in kidneys
68
Which of the following aspects of the care plan is considered a nursing implementation?
The patient is…
Ambulate the patient twice a day with assistance
The patient appears…
The patient will….
69
What is a cardiac catheterization? select all
determines what stage of cancer the patient has
Invasive procedure catheters are advanced into R. & L. heart
measures pressures & O2 sat. levels in four heart chambers,
determines the extent of atherosclerosis
70
How do you take nitroglycerin tablets?
Take one daily
take one, then take 1 every half hour don't take more than 5
take one every 5 minutes no more than 3
BID
71
How do you store sublingual nitroglycerin tabs.
Out of sunlight, original bottle, at room temp
on your nightstand so you can reach it
In the fridge, in original bottle
In the sun, in pill bottle to organize
72
Types of leukocytes (select all)
Agranulocytes
Reticulocytes
Granulocytes
Hemoglobin
73
decreased breath sounds most appropriate nursing diagnosis
Pneumonia related to progression of the disease
Poor ventilation related to acute lung infection
Immobility
Ineffective airway clearance r/t brachial tracheal secretion
74
The nurse should expect to assist with what hemodynamic motoring procedure w/ pt w/ L. sided HF
making decision of what med they will be placed on
Open heart surgery
Central venous pressure
Pulmonary artery pressure monitoring (pulmonary artery Cath)
75
UN-modifiable CAD risk factors. select all
increasing age gender, race
gender, race
Diabetes
Family history of CAD
76
Pt is urinating a lot and asks how HCTZ affects his BP. What is the best response by the nurse?
HCTZ increases HR; pumps blood faster to kidneys, lowers BP
HCTZ enhances kidney function, causes urinating, lowers BP
HCTZ dilates BV, causing urination, decreasing BP
HCTZ decreases fluid in bloodstream, & lowers BP
77
To minimize heart damage to pt w/ chest pain what are some of the interventions you should do
MONA
wait for doctor
observe for respiratory distress, nitroglycerin sublingually
Place patient in semi-Fowler's position, measure vital signs
78
What would be primary concern/ potential side effect of anyone taking anti-hypertensive meds?
Aortoiliac disease
Generalized weakness
Orthostatic hypotension
Hypertension
79
Hypertensive urgency is when
BP becomes very low, causing syncope
BP becomes very low, causing organ damage
Exceedingly high BP, will result in end-organ damage
BP becomes very high, but no impending organ damage
80
older adult pt whose chief complaint is back pain & elevated total protein level
Non-Hodgkin lyphoma
Leukemia
Anemia
Multiple Myeloma
81
What is the most common cause of CVD in the USA?
Atherosclerosis
Stroke
HF
kidney disease
82
Types of Granulocytes (select all)
Hemoglobin
Eosinphils
Basophils
Neutrophils
83
When having Reaction to a blood transfusion pt will present w/ same symptoms&assessment changes
True
False
84
Pt has pneumonia, part of the nursing care which constitutes planning part of nursing process
Avoid over exhaustion
Auscultate the chest every 4 hours
Administer oral fluids every hour PRN
Keep pulse ox at 95% or better
85
Which of the following illnesses is the leading cause of death in the United States?
Liver Failure
Coronary Artery Disease
Renal Failure
Cancer
86
the most common cause of infectious limb swelling, localized redness, pain
Lymphedema
Thrombophelbitis
Lymphangitis
Cellulitis
87
True or False: Unstable angina can be relived with Nitroglycerin
False
True
88
intermittent claudication
A tingling sensation in your face
A muscular, cramp-like pain in the extremities
A state of paralysis
89
The most common things that lead to venous disorders (select all)
venous stasis (immobility, bed rest)
Endothelial damage
altered coagulation
low apical HR
90
A dissection is
a surgical procedure that helps dilate the blood vessels
dilation/ out pouching in a weak point within arterial wall
a decrease in the femoral pulses
Tear in the arterial wall
91
BNP (brain natriuretic peptide) lab test may help diagnose... select all
heart failure (HF)
Liver Failure
cute respiratory distress syndrome (ARDS)
Renal failure
92
What could be the consequence of uncontrolled hypertension?
sepsis
depression
syncope
Organ failure
93
nurse performed assessment of pt w/chronic leg ulcers. assessment should include (select all)
Bilateral comparison of peripheral pulses & temp in legs
Identification of mobility limitations.
Location and type of pain
Apical heart rate
94
Polycythemia vera:places pt @ risk 4 thrombus formation &bleeding bc of dysfunctional platelets
True
False
95
T/F Disseminated intravascular coagulation DIV not a disease but a sign of underlying condition
False
True
96
People with coronary artery disease (atherosclerosis) are at great risk for developing what?
Liver damage
Dyslipedemia
Cataracts
HTN
97
True or False: Stable angina is relieved by rest
False
True
98
Calcium Channel Blockers therapeutic effects (select all)
decreases workload of the heart
slows HR and decreases myocardial contraction.
Increases workload of heart and increases HR
Slows conduction of the SA and AV nodes
99
True of False: Unstable angina will not lead to MI
False
True
100
What are some changes in cardiac function and structure in the elderly. select all
Slower HR, size of heart increases, volume of blood reduced
myocardium changes & strength of contraction is reduced
cardiac output positively affected
back flow of blood creates murmurs, fatigue, sob, &palpitat.
101
Pt scheduled for cardiac cath, pt is anxious and asks for a reasons for this test
done to evaluate the cardiovascular responds to stress.
done to assess how blocked/open a pts coronary arteries are
done to evaluate SA node
done to look at the lungs
102
What are the risk factors for primary hypertension? select all
Smoking
Obesity
heredity
Eye color
103
abdomin aortic aneurysm in danger of rupture might produce these pt pain complaints. select all
tingling sensation in hands
none of the above
heart beating in their abdomen when lying down,
abdominal mass or abdominal throbbing.
104
providing care for PT who has (PAD). What assessment findings is likely to be noted for the pt?
Numbness and tingling in the toes
Unequal peripheral pulses between the extremities
Clubbing of the fingers and toes
105
Gangrene is caused by?
Liver failure
Arterial insufficiency
Renal failure
COPD
106
Diastole
Tissue perfusion
contraction of the atria and ventricles
ventricular relaxation resulting in ventricular filling
All of the above

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